Individual
DR. LISSETTE ANN MARIE DAVIS ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 CALLE SANTA CRUZ, BAYAMON, PR 00961-7052
(787) 387-9520
Mailing address
URB. PUERTO NUEVO 1371 CALLE 12 NW, APT 4, SAN JUAN, PR 00920
(787) 387-9520
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23305
PR
390200000X
Student in an Organized Health Care Education/Training Program
16085I
PR
Other
Enumeration date
02/08/2022
Last updated
06/12/2023
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